The COPE Intervention for Caregivers of Patients with Heart Failure: An Adapted Intervention.
The COPE Intervention for Caregivers of Patients with Heart Failure: An Adapted Intervention.
复制标题
针对心力衰竭患者护理人员的 COPE 干预措施：适应性干预措施。
DOI：
10.1097/njh.0b013e31827777fb
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Buck,HarleahG
中科院分区：
文献类型：
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作者：
McMillan,SusanC;Small,BrentJ;Haley,WilliamE;Zambroski,Cheryl;Buck,HarleahG
这项2组比较实验研究的目的是在一项小型随机试验中对临终关怀中心力衰竭患者的照顾者进行心力衰竭-COPE（创造力、乐观、计划和专家信息）干预的初步测试，该试验侧重于照顾者负担、生活质量、抑郁和焦虑、照顾者知识、患者生活质量以及急诊室就诊和住院。40名患者-护理者二人组参与了21天内接受COPE-心力衰竭干预的治疗组，两组均提供了基线和第4周和第5周的数据。结果显示，干预没有效果，但样本很小，患者平均诊断时间超过10年。患者最常报告的症状是口干和疲劳。自我护理不足，但患者的抑郁和痛苦程度较低，而生活质量评分相对较高。护理人员报告患者症状和负担的痛苦程度较低，平均焦虑和抑郁评分较低。我们的结论是，护理人员已经管理心力衰竭症状很长一段时间了，我们在疾病轨迹接近尾声时的干预是不需要的;护理人员已经觉得有能力管理这些患者的护理。
The purpose of this 2-group comparative experimental study was to pilot test the heart failure–COPE (creativity, optimism, planning, and expert information) intervention for caregivers of heart failure patients in hospice care in a small randomized trial focusing on caregiver burden, quality of life, depression and anxiety, caregiver knowledge, patient quality of life, and emergency room visits and hospitalizations. Forty patient-caregiver dyads participated with the treatment group receiving the COPE–heart failure intervention in 21 days, and both groups provided data at baseline and at weeks 4 and 5. Results showed no effect of the intervention, but the sample was small, and patients had been diagnosed for a mean of more than 10 years. The most commonly reported symptoms by patients were dry mouth and fatigue. Self-care was less than adequate, but depression and distress among patients were low, whereas quality-of-life scores were relatively high. Caregivers reported low distress from patient symptoms and from caregiving burden and low mean anxiety and depression scores. We concluded that caregivers had been managing heart failure symptoms for a long time and that our intervention near the end of the disease trajectory was not needed; caregivers already felt competent to manage the care of these patients.